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General NPI Number Information
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NPI Number | 1306824313
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Entity Type | Organization
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Legal Business Name | PHILLGREY INC
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 202 N MAIN ST
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City | MASSENA
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State | NY
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Zip | 13662-1121
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Country | US
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Telephone | 315-764-5939
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Fax | 315-764-1172
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 315-635-1789
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Fax | 315-635-3289
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID SHERMAN
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Credential |
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Telephone | 315-764-8195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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